Alignment Healthcare is a population health management company dedicated to changing the way health care is delivered in the United States. We are a fast-growing, highly dynamic organization that isn’t content with the status quo. We are looking for dedicated, innovative individuals who thrive in a fast-paced environment to join our team and help us carry out our vision - that is, to lead a movement that transformationally improves health care.

Credentialing Specialist

Location: Orange, California US

The Credentialing Specialist is responsible for all aspects of credentialing and re-credentialing for providers, including physicians and healthcare delivery organizations as required. This position is responsible for preparing and maintaining reports of credentialing activities such as licensure, accreditation, membership or facility privileges. The Credentialing Specialist is responsible for ensuring that all information meets federal and state guidelines when processing applications as well as maintaining all the records and documentation of the application and verification process. The Credentialing Specialist works with the providers to maintain current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents as well as maintaining up-to-date data for each provider in credentialing databases and online systems including CAQH.

1-3 years’ experience in the field of credentialing in a healthcare environment

Education/Licensure:

High School Diploma or equivalent, some college a plus

Credentialing Certificate a plus

Other:

Excellent written and verbal communication skills

Extremely detail oriented

Proven follow-up skills

Proficient in Microsoft Office, knowledge of other systems preferred

Knowledge of Medicare Application processing

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear.

The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 10 pounds.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

FLSA Status: Non-Exempt

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

City:
Orange

State:
California

Location City:
Orange

Location State:
California

Community / Marketing Title:
Credentialing Specialist

Company Profile:

Who is Alignment Healthcare?

Socially responsible

Technologically enabled

Concierge care

Transformation

Servant leadership

We are dedicated to transforming the complex and confusing process of medical treatment in the United States so that every link in the health care continuum becomes more efficient, productive, and effective. We built a team of people who want to make a difference. Come join the team that is changing health care one person at a time.

We believe that great work comes from people who are inspired to be their best. We invite you to explore our wide variety of roles based on your unique experience.

EEO Employer Verbiage:

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.